| NPI | 1750313854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD S HAMM CFO 440-842-7990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-08-22 |